Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review.
Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review.
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撒哈拉以南非洲城市贫民窟青少年面临的主要性健康和生殖健康挑战的性质和应对措施：范围界定审查。
DOI：
10.1186/s12978-020-00998-5
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发表时间：
2020-09-30
影响因子：
3.4
通讯作者：
Feyissa GT
中科院分区：
文献类型：
--
作者：
Wado YD;Bangha M;Kabiru CW;Feyissa GT
要解决青少年的性健康和生殖健康及权利问题，就需要了解他们所生活的社会文化和空间环境。一个特别重要的背景是逐渐占据城市空间的非正规住区或“贫民窟”。我们对撒哈拉以南非洲贫民窟青少年性健康和生殖健康及权利的现有证据进行了范围审查和综合，重点是现有证据的特点和性质。范围界定审查是在Arksey和O 'Malley框架的基础上，根据乔安娜·布里格斯研究所（JBI）关于范围界定审查的指导意见进行的，并使用PRISMA报告准则进行范围界定审查。在PubMed、POPLINE、African Journals Online（AJOL）、Bioline International和Google Scholar中进行了全面检索。检索仅限于2000年1月至2019年5月期间在同行评审期刊上发表的研究和在线发表的报告。如果研究涉及撒哈拉以南非洲城市贫民窟中青少年的性健康和生殖健康及权利问题，则将其纳入审查范围。该综述共纳入54项研究。大多数研究（79.5%）是定量研究。大部分研究（85.2%）是观察性研究，只有8项干预性研究。虽然有一半（27项）研究专门针对青少年（10-19岁），但有12项研究将青少年与其他年轻人（10-24岁）结合起来。这些研究偏向于性行为（44%）和艾滋病毒/艾滋病（43%），很少有研究关注其他性健康和生殖健康及权利问题，如避孕、堕胎、基于性别的暴力和艾滋病毒以外的性传播感染。大多数研究都强调，与其他定居点的同龄人相比，贫民窟的青少年性健康和生殖健康权利结果不佳的风险显着更高。在贫民窟长大的年轻人在性健康和生殖健康及权利需求方面面临巨大挑战，导致早孕和意外怀孕、性传播感染和性暴力等不良后果。本次审查的结果指出了旨在改善撒南非洲贫民窟青少年性健康和生殖健康及权利的方案编制、政策和研究的几个潜在目标领域。
Addressing adolescents’ sexual and reproductive health and rights (SRHR) requires an understanding of the socio-cultural and spatial settings within which they live. One setting of particular importance is the informal settlements or ‘slums’ that are gradually dominating the urban space. We undertook a scoping review and synthesis of existing evidence on adolescent SRHR in slums in sub-Saharan Africa (SSA) focusing on the characteristics and nature of existing evidence. The scoping review was conducted based on Arksey and O’Malley framework and in accordance with the guidance on scoping reviews from the Joanna Briggs Institute (JBI) and using PRISMA reporting guidelines for scoping reviews. A comprehensive search was undertaken in PubMed, POPLINE, African Journals Online (AJOL), Bioline International and Google Scholar. The search was confined to studies published in peer reviewed journals and reports published online between January 2000 and May 2019. Studies were included in the review if they addressed SRHR issues among adolescents living in urban slums in SSA. The review included a total of 54 studies. The majority (79.5%) of studies were quantitative. The bulk of studies (85.2%) were observational studies with only eight intervention studies. While half (27) of the studies focused exclusively on adolescents (10–19 years), 12 studies combined adolescents with other young people (10–24 years). The studies were skewed towards sexual behavior (44%) and HIV/AIDS (43%) with very few studies focusing on other SRHR issues such as contraception, abortion, gender-based violence and sexually transmitted infections (STIs) other than HIV. Most of the studies highlighted the significantly higher risks for poor SRHR outcomes among adolescents in slums as compared to their peers in other settlements. Young people growing up in slums face tremendous challenges in relation to their SRHR needs resulting in poor outcomes such as early and unintended pregnancy, STIs, and sexual violence. The results of this review point to several potential target areas for programming, policy, and research aimed at improved adolescent SRHR in slums in SSA.
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影响因子：
2.3
作者：
Amuyunzu-Nyamongo, Mary K.;Magadi, Monica A.
通讯作者：
Magadi, Monica A.
影响因子：
1.9
作者：
Austrian, Karen;Anderson, Althea D.
通讯作者：
Anderson, Althea D.
影响因子：
168.9
作者：
Bearinger, Linda H.;Sieving, Renee E.;Sharma, Vinit
通讯作者：
Sharma, Vinit
影响因子：
1.1
作者：
Dunbar MS;Maternowska MC;Kang MS;Laver SM;Mudekunye-Mahaka I;Padian NS
通讯作者：
Padian NS
影响因子：
1.1
作者：
Erulkar, Annabel;Ferede, Abebaw;Ambelu, Worku
通讯作者：
Ambelu, Worku